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General NPI Number Information
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NPI Number | 1639387707
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Entity Type | Individual
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Provider Name | BETTY W. ULMANIS LMT, CMMMT, NCTMB
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Gender | Female
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 9067 US HIGHWAY 31 SUITE #209
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1664
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Country | US
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Telephone | 269-251-0327
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Fax |
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Provider Business Mailing Address
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Address Line | 7196 EVANS RD.
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City | EAU CLAIRE
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State | MI
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Zip | 49111
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Country | US
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Telephone | 269-251-0327
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00015324
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License Number State | WA
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